IMIA – International Medical Informatics Association Associated with HINZ Medinfo2010 organised by the South African Health Informatics Association Conference theme: Partnerships for effective eHealth solutions - Innovative collaborations promote solutions to health challenges
Conference programme (what I attended) Monday Adoption determinants Implementation Citizen-centric e-health Telemedicine Guidelines for evaluation of HI Tuesday Evaluation methodology Social networking and virtual reality Panel on ‘Doctors, patients and computers: Evaluating a relationship in evolution’ by C Pearce (Oz GP), S DeLusignan, A Schackak, and A Kushniruk (wrote book chapter with him) Information needs and teleconsultation Presented our poster Wednesday Primary and home care User satisfaction
Collaboration in the real world as foundation for health robotics research for aged care Karen Daya, Priyesh Tiwaria, Jim Warrena a National Institute for Health Innovation, University of Auckland, Auckland, New Zealand A robot can be more than a reminder – it can be used to help clinicians understand what people do when enacting a prescription. Aim The aim of this research was to describe the process, activities and context associated with medication management so that a medication reminder can be developed and deployed on a robot. Abstract In many countries longevity is the norm. Healthcare becomes more complex as people age , opening up an opportunity for assistive robotic technology. Developing a healthcare robot requires input from a broad range of disciplines and skills – medical, engineering, management, psychology, computer science and health informatics. Interviews, observation and photographs were used to gain insight into how medicines are managed by residents and care givers in an aged care facility. Multiple perspectives were used to produce a medicines management process and a description of its context. Several worldviews were ‘bridged’ in this research resulting in an alignment of the research project team’s efforts in preparing a robot that supports medication management. Keywords: Robotics, ehealth, self-help devices, medication therapy management, chronic disease, geriatrics. Method Data were collected by interviewing and observing residents at Selwyn Village, and their relatives. Care givers, managers, and the facility’s doctor and pharmacist were also interviewed. The data were analyzed thematically , resulting in process diagrams for system design, and contextual descriptions to gain a shared understanding of the constraints, facilitating factors and perspectives of people managing medicine routines (self or with assistance from others). The easiest way to identify potential contributions of a robot reminder system is to describe and analyse existing processes. We examined how care givers remind residents living independently at Selwyn Village to take their medicines. Results People have different ideas and expectations of what happens and what should happen in medication management. This has implications for support tool design. The medicines process may appear obvious to clinicians – prescribe the medicines, person takes them, represcribe when medicines run out. However, without being able to observe residents all the time, we were unable to collect evidence to assist clinicians in reducing errors and increasing the likelihood of people taking medicines as prescribed. In contrast to clinicians, residents and care givers emphasise their social context – medicines are part of starting the day. Care givers are concerned about the overall health of the people they care for, interrupting medicines rounds in response to calls for help. In contrast, engineers in the team focus on the technology while relying on input from clinical, psychological and social analyses. The technical, clinical, social, geographical and organizational aspects of this project were at times at odds with one another, despite the sound practice of requirements gathering prior to building the robot prototype. References  Sebern, M., Shared care, elder and family member skills used to manage burden. Journal of Advanced Nursing, 2005. 52(2): p. 170-179.
 Miles, M.B. and A.M. Huberman, Qualitative Data Analysis: An Expanded Sourcebook. 1994, Thousand Oaks: Sage Publications. Conclusion This research resulted in convergence to a shared understanding of the task at hand – building a robot to support medication management. Collaboration in the conceptualization, design and development of a healthcare robot became the foundation for a practical design that is focused on meeting a specific need, medicines reminding. Contact Karen Day email@example.com www.hive.org.nz Acknowledgments This work was supported by the R&D program of the Korea Ministry of Knowledge and Economy (MKE) and the Korea Evaluation Institute of Industrial Technology (KEIT). [2008-F039-01, Development of Mediated Interface Technology for HRI]. We also acknowledge FRST funding from New Zealand and the Selwyn Foundation for the context of our research, and the complementary research of our colleagues, Bruce MacDonald, Elizabeth Broadbent (from the University of Auckland) and JoochanSohn (from ETRI).
What was related to robotics?....and aged care? Quite a bit about implementation and evaluation but nothing specific to robotics or aged care Workshops and some papers on person/citizen-centric healthcare, e.g., patient education, social media Workshops and papers on technical aspects of HI, e.g., natural language processing, data mining, coding and classification, HL7, interoperability, grid computing, bioinformatics, analysis of data, ontology management, SNOMED CT, Workshops and papers on decision support systems (design, implementation and evaluation) Workshops and papers on telemedicine and other aspects of clinical care, e.g., quality, adverse drug events.
Emerging technologies (got closest to the Healthbots project)
Worth following up.... WHO stand on health information management. Plenary by Dr Najeeb Al-Shorbaji of interest in general terms. http://www.who.int/topics/medical_informatics/en/ Lots of international interest in telemedicine, collaborative research, and evaluation.
Thank you Full conference programme available at http://www.medinfo2010.org/docs/Full_conference_programme.pdf
My Presentations openEHR Clinical Modelling Tutorial Clinical modelling of endoscopy Standardisation in terminology openEHR standard for software development Results of our study openEHR Developers Workshop Development details; .Net/C# How to create dynamic GUI Assessment of software maintainability
Other Pertinent Sessions EHR systems in Singapore (S. Muttit et al.) Clinical Research Data Repository iof the US NIH (j. Cimino et at.) Interoperability Issues (Amado Espinosa) sessions Coding and Terminologies (C. Chute) session Selected sessions from Data integration and standards (O. Bodenreider) and Data Repositories and Research Infrastructure sessions National and international Health IT (B. Leao) STARE Evaluation (J. Talmon et al.)